Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.83 / $5,576.00 / $12,051.00	Facility		$1,095.83	$5,576.00	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.78 / $3,374.21 / $6,143.61	Professional		$801.78	$3,374.21	$6,143.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,439.82 / $3,724.65 / $9,036.49	Professional		$1,439.82	$3,724.65	$9,036.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,128.64 / $3,478.50 / $13,477.50	Facility		$1,128.64	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,128.64 / $1,128.64 / $6,024.89	Professional		$1,128.64	$1,128.64	$6,024.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.47 / $1,349.47 / $1,349.47	Facility		$1,349.47	$1,349.47	$1,349.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.75 / $3,622.89 / $11,938.02	Professional		$864.75	$3,622.89	$11,938.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,030.00 / $2,044.80	Facility		$332.00	$1,030.00	$2,044.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,268.00 / $6,070.61 / $8,923.32	Professional		$4,268.00	$6,070.61	$8,923.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,689.07 / $3,689.07 / $3,689.07	Facility		$3,689.07	$3,689.07	$3,689.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,743.27 / $4,093.18 / $8,494.66	Professional		$2,743.27	$4,093.18	$8,494.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,838.63 / $4,838.63 / $4,838.63	Facility		$4,838.63	$4,838.63	$4,838.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,349.47	Facility		$555.00	$597.00	$1,349.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $934.43 / $4,623.47 / $12,122.05	Professional		$934.43	$4,623.47	$12,122.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,386.65 / $5,050.89 / $12,037.15	Professional		$3,386.65	$5,050.89	$12,037.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $948.11 / $948.11 / $3,801.47	Facility		$948.11	$948.11	$3,801.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,573.31 / $4,815.50 / $8,494.66	Professional		$2,573.31	$4,815.50	$8,494.66